Dyslipidemia Impacts Cardiometabolic Health and CVD Risk in a Relatively Young Otherwise Healthy Population

IF 2.7 3区 医学 Q2 PERIPHERAL VASCULAR DISEASE
Jillian M. Lang, Elena S. Shostak, William K. Quinn, Valerie D. Chervinskaya, Elisa Fioraso, Everett Smith, Christopher J. Kotarsky, Justin A. DeBlauw, Jennifer L. Lloyd, Stephen J. Ives
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Abstract

Dyslipidemia, abnormal levels of lipids in the bloodstream, is associated with cardiovascular disease risk (CVD). The purpose of this study was to evaluate the effects of dyslipidemia on cardiometabolic health in relatively young, healthy adults. Participants were 54 healthy males and females aged 18–60 years. Participants were assessed for anthropometrics, body composition, blood pressure and vascular stiffness indicators, microvascular health, and glucose and lipid levels. Using a cross-sectional approach, participants were characterized and grouped as having dyslipidemia or not, and then statistically assessed to determine whether differences in other cardiometabolic health measures existed between the groups. There were significant differences between groups for body weight and composition (total mass, muscle mass, visceral fat, bone mass, and body mass index, all, p < 0.027, Cohen's d > 0.605) with the dyslipidemia group being higher. There were significant differences between groups for peripheral and central blood pressures (all, p < 0.003, Cohen's d > 0.899), as well as for vascular stiffness indicators (pulse pressure, augmentation pressure, augmentation index, augmentation index 75) (all, p < 0.022, Cohen's d > 0.672) with elevations noted in the dyslipidemia group. Ten-year CVD risk was significantly different between groups, with an average risk of 0.8% in the normal lipids group and a risk of 5.4% in the dyslipidemia group (p < 0.001, Cohen's d = 1.260). However, there were no significant differences in macro- or micronutrient intake between groups (all, p > 0.166, Cohen's d < 0.412). There is a significant impact on cardiometabolic health in individuals with dyslipidemia who are otherwise healthy, which may increase individual risk for CVD.

Trial Registration: ClinicalTrials.gov identifier: NCT06544915.

Abstract Image

血脂异常影响相对年轻健康人群的心脏代谢健康和心血管疾病风险
血脂异常,即血液中的脂质水平异常,与心血管疾病风险(CVD)相关。本研究的目的是评估相对年轻、健康成人的血脂异常对心脏代谢健康的影响。参与者是54名年龄在18-60岁的健康男性和女性。研究人员对参与者进行了人体测量、身体成分、血压和血管硬度指标、微血管健康以及血糖和血脂水平的评估。采用横断面方法,将参与者分为血脂异常或非血脂异常,然后进行统计评估,以确定两组之间在其他心脏代谢健康指标上是否存在差异。各组之间的体重和组成(总质量、肌肉质量、内脏脂肪、骨量和体重指数,均p 0.605)有显著差异,血脂异常组更高。两组间外周血压和中枢血压(均p 0.899)以及血管硬度指标(脉压、增压压、增压指数、增压指数75)(均p 0.672)均有显著差异,血脂异常组血压升高。10年心血管疾病风险在两组之间有显著差异,正常血脂组的平均风险为0.8%,血脂异常组的平均风险为5.4% (p = 0.166, Cohen’s d
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来源期刊
Journal of Clinical Hypertension
Journal of Clinical Hypertension PERIPHERAL VASCULAR DISEASE-
CiteScore
5.80
自引率
7.10%
发文量
191
审稿时长
4-8 weeks
期刊介绍: The Journal of Clinical Hypertension is a peer-reviewed, monthly publication that serves internists, cardiologists, nephrologists, endocrinologists, hypertension specialists, primary care practitioners, pharmacists and all professionals interested in hypertension by providing objective, up-to-date information and practical recommendations on the full range of clinical aspects of hypertension. Commentaries and columns by experts in the field provide further insights into our original research articles as well as on major articles published elsewhere. Major guidelines for the management of hypertension are also an important feature of the Journal. Through its partnership with the World Hypertension League, JCH will include a new focus on hypertension and public health, including major policy issues, that features research and reviews related to disease characteristics and management at the population level.
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